Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Acute Type a Aortic Dissection during Pregnancy

임신중 발생한 급성 대동맥박리증

  • Kim, Ki-Chool (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University) ;
  • Ahn, Hyuk (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University) ;
  • Chae, Hurn (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University) ;
  • Rho, Joon-Ryang (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University) ;
  • Kim, Chong-Whan (Dept. of Thoracic and Cardiovascular Surgery, College of Medicine, Seoul National University)
  • 김기출 (서울대학교 의과대학 흉부외과학교실) ;
  • 안혁 (서울대학교 의과대학 흉부외과학교실) ;
  • 채헌 (서울대학교 의과대학 흉부외과학교실) ;
  • 노준량 (서울대학교 의과대학 흉부외과학교실) ;
  • 김종환 (서울대학교 의과대학 흉부외과학교실)
  • Published : 1993.02.01
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Abstract

Aortic dissection of the young woman without Marfan disease is related, in most instances, to pregnancy. We experienced a case of acute type A aortic dissection. The patient was 25 years old woman in 35 weeks of gestational age without evidence of Marfan's syndrome. The challenge of management was successfully met by delivery of the fetus first, followed by aorta surgery. 42 minutes of total circulatory arrest and 104 minutes of total aortic cross clamp time were needed. 34 minutes of selective cerebral perfusion via right axillary artery was used. The patient had uneventful hospital course and was discharged with her healthy baby on 15 th postoperative day.

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